ArticleAge and ageing2019
Distribution of the National Early Warning Score (NEWS) in care home residents.
Article in Age and ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Validation of predictive factors for hospital admission in elderly patients transported by emergency medical services: a retrospective observational study.BMC emergency medicine · 2025Observational
- Detection of Acute Deterioration in Care Home Residents: A Multicenter Qualitative Exploration of Barriers and Enablers.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Which acute deterioration tools are used in long-term care facilities and how have they been evaluated? A scoping review.BMC health services research · 2025Article
- Piloting a minimum data set for older people living in care homes in England: a developmental study.Age and ageing · 2025Article
- Be-SNAP: the Belgian Sepsis National Action Plan.Frontiers in public health · 2025Article
- Evaluation of a Telemonitoring System Using Electronic National Early Warning Scores for Patients Receiving Medical Home Care: Pilot Implementation Study.JMIR medical informatics · 2024Article
- Treatment and Care for Nursing Home Residents with COVID-19: A Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
- Long COVID in long-term care: a rapid realist review.BMJ open · 2023Review
- Preparing of Point-of-Care Reagents for Risk Assessment in the Elderly at Home by a Home-Visit Nurse and Verification of Their Analytical Accuracy.Diagnostics (Basel, Switzerland) · 2023Article
- Early warning scores and trigger recommendations must be used with care in older home nursing care patients: Results from an observational study.Nursing open · 2023Observational
- Recognising and responding to acute deterioration in care home residents: a scoping review.BMC geriatrics · 2023Article
- Clinical indicators of acute deterioration in persons who reside in residential aged care facilities: A rapid review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023Review
- NEWS2 and the older person.Clinical medicine (London, England) · 2022Article
- Comorbidity-adjusted NEWS predicts mortality in suspected patients with COVID-19 from nursing homes: Multicentre retrospective cohort study.Journal of advanced nursing · 2022Article
- Adverse Events and Risk Management in Residential Aged Care Facilities: A Cross-Sectional Study in Hunan, China.Risk management and healthcare policy · 2022Article
- A study to introduce National Early Warning Scores (NEWS) in care homes: Influence on decision-making and referral processes.Nursing open · 2022Article
- National Early Warning Scores and COVID-19 deaths in care homes: an ecological time-series study.BMJ open · 2021Article
- Article
- Implementation of the National Early Warning Score in UK care homes: a qualitative evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Prehospital Point-Of-Care Lactate Increases the Prognostic Accuracy of National Early Warning Score 2 for Early Risk Stratification of Mortality: Results of a Multicenter, Observational Study.Journal of clinical medicine · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundthe National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents.
methodsdescriptive analysis of all NEWS readings recorded in a 30-month period (2016-19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness.
resultsa total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%).
conclusionsuse of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.
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